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Many policy experts say that shifting a portion of health-benefit costs back to the workers helps to control the employer s costs, but also helps to limit medical spending by making patients more careful consumers.

helps to control the employers costs, but also helps
helps the control of the employers costs, and also
not only helps to control the employers costs, but also helps
helps to control not only the employers costs, but
not only helps to control the employers costs, and also helps
Explanation:
To convey the idea that shifting a portion of health-benefit costs back to workers has two complementary effects, the correct sentence must link grammatically parallel statements of these effects with and also or with not only ... but also. In choice A, helps ... but also undermines the and also paradigm, wrongly suggesting a contrast in the effects. In choice E, the unidiomatic not only ... and violates the not only ... but also paradigm. Choices B and D are not parallel. Also, the phrase helps the control in B is vague and unidio�matic. Choice C, the best answer, develops the parallel not only helps to... but also helps to.
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